| NPI | 1508823899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 28467) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024166934) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 18084) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: KY 3008191) | |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2025-08-27 |